Akai T, Iizuka H, Okamoto K, Kato M
Department of Neurosurgery, Kanazawa Medical University, Ishikawa.
Neurol Med Chir (Tokyo). 1999 Sep;39(9):693-5. doi: 10.2176/nmc.39.693.
A 49-year-old man who had complained of back pain for 20 years presented with numbness and pain in his left leg persisting for 6 weeks. Magnetic resonance imaging demonstrated a peripherally enhanced intraspinal mass at the L-3 level. The mass was completely removed. The operative and histological findings revealed degenerated disc fragments surrounded by granulation tissue. His symptoms were completely relieved. Migrated disc should be included in the differential diagnosis of patients with a long history of back pain and an intraspinal mass.
一名49岁男性,背痛20年,现左腿麻木疼痛持续6周。磁共振成像显示L3水平有一椎管内周边强化肿块。肿块被完整切除。手术及组织学检查结果显示退变的椎间盘碎片被肉芽组织包绕。其症状完全缓解。对于有长期背痛及椎管内肿块的患者,椎间盘移位应列入鉴别诊断。